DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEVERY GERARD BRODDIE, LMT

Active Sole Proprietor

MR. DEVERY GERARD BRODDIE, LMT is a Massage Therapist healthcare provider located in HOOD RIVER, Oregon. NPI 1972649903 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · HOOD RIVER, OR

Registration Details

NPI Number
1972649903
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2007 (19.503660165655 yrs)
Last Updated
Aug 31, 2020
License
7291 (OR)
Sole Proprietor
Yes

Practice Information

Address
315 OAK ST. STE 200
HOOD RIVER, OR, 97031
Browse OR providers · Browse ZIP 97031
Phone
5413860009
Fax
5413860029
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Adult Companion
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in HOOD RIVER, OR

Name Credential NPI
MICHELE LEE PATRICK LMT 1447213798
STACIE LINN LEFLER LMT 1992864060
MRS. ROSE JENKINS DONAHUE LMT 1104958149
MR. GUY TAUSCHER BA, LMT 1114050341
TRACY LYNN OLMSTEAD LMT 1063660975
ANN LOOMIS 1194974501
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.